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Related Experiment Video

Updated: Sep 29, 2025

Lower Limb Biomechanical Analysis of Healthy Participants
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Open lower limb fractures in the elderly.

Patrick Lancaster1, Cezary Kocialkowski1, Oliver Pearce1

  • 1Department of Trauma and Orthopaedics, Southmead Hospital, North Bristol Trust, Southmead Road, Bristol BS10 5NB, United Kingdom.

Injury
|March 26, 2022
PubMed
Summary

Elderly patients with open lower limb fractures face significant risks, with a 10% 30-day mortality. However, limb salvage is achievable in 93% of cases, often with one-stage procedures.

Keywords:
Elderly traumaOpen fractures

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Geriatric Medicine

Background:

  • Open lower limb fractures in patients aged 65 and over represent a critical injury.
  • These fractures share demographic and mortality similarities with hip fractures.

Purpose of the Study:

  • To evaluate the outcomes of open lower limb fractures in elderly patients (65+).
  • Primary outcome: 30-day mortality.
  • Secondary outcome: Reoperation rates.

Main Methods:

  • Retrospective analysis of 88 patients (≥65 years) with open tibia or ankle fractures over two years.
  • Data collected included demographics, injury type (Gustillo-Anderson), and surgical approach (one-stage vs. two-stage).
  • Mortality (30-day and one-year) and complication rates were recorded.

Main Results:

  • Mean patient age was 78 years; 66% were female.
  • 76% sustained low-energy injuries; 73% were Gustillo-Anderson type IIIB.
  • 30-day mortality was 10%, one-year mortality was 19%, and reoperation rate was 8%.

Conclusions:

  • Open lower limb fractures in the elderly are life- and limb-threatening.
  • Limb salvage was successful in 93% of cases.
  • One-stage surgical procedures were utilized in 56% of patients.